Thrombosis and its related events have become a major concern during the development and optimization of ventricular assist devices (VADs, also called blood pumps), and limit their clinical use and economic benefits. Attempts have been made to model the thrombosis formation, considering hemodynamic and biochemical processes. However, the complexities and computational expenses are prohibitive. Blood stasis is one of the key factors which may lead to the formation of thrombosis and excessive thromboembolic risks for patients. This study proposed a novel approach for modeling blood stasis, based on a two-phase flow principle. The locations of blood residual can be tracked over time, so that regions of blood stasis can be identified. The blood stasis in an axial blood pump is simulated under various working conditions, the results agree well with the experimental results. In contrast, conventional hemodynamic metrics such as velocity, time-averaged wall shear stress (TAWSS), and relative residence time (RRT), were contradictory in judging risk of blood stasis and thrombosis, and inconsistent with experimental results. We also found that the pump operating at the designed rotational speed is less prone to blood stasis. The model provides an efficient and fast alternative for evaluating blood stasis and thrombosis potential in blood pumps, and will be a valuable addition to the tools to support the design and improvement of VADs.

The gaps between the blades and the shroud (or hub) of an axial blood pump affect the hydraulics, efficiency, and hemolytic performance. These gaps are critical parameters when a blood pump is manufactured. To evaluate the influence of blade gaps on axial blood pump performance, the flow characteristics inside an axial blood pump with different radial blade gaps were numerically simulated and analyzed with special attention paid to the hydraulic characteristics, gap flow, hydraulic efficiency, and hemolysis index (HI). In vitro hydraulic testing and particle image velocimetry testing were conducted to verify the numerical results. The simulation results showed that the efficiency and pressure rise decreased when the gap increased. The efficiency of the axial blood pump at design point decreased from 37.1% to 27.1% and the pressure rise decreased from 127.4 to 71.2 mm Hg when the gap increased from 0.1 to 0.3 mm. Return and vortex flows were present in the outlet guide vane channels when the gap was larger than 0.2 mm. The HI of the blood pump with a 0.1 mm gap was 1.5-fold greater than that with a 0.3 mm gap. The results illustrated poor hydraulic characteristics when the gap was larger than 0.15 mm and rapidly deteriorated hemolysis when the gap was larger than 0.1 mm. The numerical and experimental results demonstrated that the pressure rise, pump efficiency, and scalar shear stress decreased when the gap increased. The HI did not strictly decrease with gap increases. The preliminary results encourage the improvement of axial blood pump designs.

The ratiometric method allows the measurement of ratio changes between two signals, which can reduce the detection signal fluctuations caused by distinct background conditions and greatly improve the reproducibility and reliability of detection. However, in contrast with the emerging dual excitation or dual emission dyes applied in ratiometric luminescence measurement, only a few internal reference probes have been exploited for ratiometric electrochemical detection. In this paper, a gold nanoparticles@carbonized resin nanospheres composite with thermally reduced graphene oxide as scaffold (AuNPs@CRS-TrGNO) has been fabricated, and the AuNPs embedded in the CRS were first used as an internal reference probe for ratiometric electrochemical detection. The detachment and aggregation of AuNPs is suppressed by embedding in the CRS, so its redox signal is very stable, which provides feasibility for ratiometric detection. Moreover, the embedment of AuNPs, carbonization of resin spheres, and hybridization with TrGNO all have played positive roles in improving the charge transfer rate, which leads to excellent electrochemical performance of the composite. Based on these characteristics of the AuNPs@CRS-TrGNO, a new ratiometric electrochemical detection platform was constructed, and copper ions (Cu 2+ ) in simulated seawater were successfully detected. This ratiometric method has the advantages of simple design and convenient operation, and obviously it improves the reproducibility and reliability of the electrochemical sensor.

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